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NIATx in Onondaga County

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    1. NIATx in Onondaga County The Evidence Based Practice Initiative

    2. MATHEW ROOSA, ACSW, LCSW-R Director of Planning & Quality Improvement Onondaga County Department of Mental Health MathewRoosa@ongov.net 315-435-3355, x109 2003 Change leader for NIATx Paths To Recovery NIATx 200 Coach, NIATx STAR-SI Coach

    3. Why NIATx? It pulls together the best of QI, PI, PDSA Elegant (PDSA, aims) Customer focused Collaborative (Change Teams, Learning Collab.) Business case oriented Data-driven Efficient (rapid cycle model vs. traditional QI) Teachable (accessible for all staff) Scalable ( program-agency-community-state-national) A strong vehicle for all QI needs.

    4. Onondaga County

    5. A Learning Collaborative to Enhance Retention Encourage person centered/ recovery management approaches and values Increase the utilization of evidence based practices Foster collaboration among providers Encourage a process improvement approach using rapid cycle change

    6. The Stake Holders 4 participating CD providers 5000 annual admissions 300 staff $25,000,000 Field Office of the single state agency (OASAS) Trainers and consultants (local and national experts) Onondaga County Department of Mental Health

    7. The Budget $15,000 annual mini-grants Training costs Reimbursement for lost billings ____________________________ $225,000 over 27 months

    8. Participant responsibilities: Send key staff to all trainings Attend monthly leadership meetings Engaging in change exercises that apply the NIATx Plan-Do-Study-Act Model to the specific targeted EBPs Maintain and report appropriate data. Ensuring participation of staff at all levels (executive, supervisory and direct care)

    9. Contingency Management

    10. Seeking Safety

    11. Seeking Safety

    12. Participants Evaluation:

    13. Lessons Learned Complex initiatives require clear shared vision Pay for participation is key Data fuels engagement Competitors can become collaborators Quality over quantity Chunk it out One size does not fit all Coaching helps Different trainings for different needs

    14. A clear plan yields rapid engagement and progress Complex initiatives require clear shared vision

    15. Pay for Participation is Key Remove the short term fiscal sacrifice by paying for lost billables. Without the money we may have come to the table, but we would not have stayed as long.

    16. Data Fuels Engagement

    17. Competitors can become collaborators.

    18. End to Confrontation

    19. Quality over Quantity

    20. Chunk it Out

    21. One size does not fit all

    22. Coaching helps

    23. Different trainings for different needs

    24. Next Steps: Currently implementing a similar project for Outpatient mental health clinic access Learning collaborative Rapid cycle PDSA Mini-grants EBP trainings

    25. Now, More Than Ever

    27. Thank You! MATHEW ROOSA, ACSW, LCSW-R Director of Planning & Quality Improvement Onondaga County Department of Mental Health MathewRoosa@ongov.net 315-435-3355, x109